Providers face an increasingly complex audit process as federal regulators and lawmakers push to eliminate fraud, waste and abuse in the Medicare system.  It is essential for centers to know what they may face during an audit, as well as how the appeals process works.  The Winter edition of the VHCA-VCAL Legal Quarterly provides detail on how Recovery Audit Contractor (RAC) audits and Zone Program Integrity Contractor (ZPIC) audits are conducted, as well the steps you can take to respond.

VHCA-VCAL would like to thank Jonathan M. Joseph, Esq. and Dawn N. Perez-Slavinski, Esq. with Christian & Barton, LLP for preparing this edition.  To read “RAC, ZPIC, WHATSIT? What You Need to Know About Medicare Audits and Appeals,”* click here. 

 *This article is for general educational purposes only. It is not legal advice specific to any situation you may have. Individuals desiring legal advice should consult legal counsel for up-to-date and fact-specific advice.